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1.
Arq. bras. med. vet. zootec. (Online) ; 73(5): 1067-1075, Sept.-Oct. 2021. tab, ilus
Artículo en Inglés | LILACS, VETINDEX | ID: biblio-1345266

RESUMEN

The aim of this study was to evaluate neovascularization of bovine xenografts implanted in intracorporeal sites of rabbits (bioreactors). 30 rabbits were used, divided into 6 groups, according to the evaluation time (7, 15, 30, 45, and 60 days); each animal received xenogenic implants in 3 different intracorporeal sites (A1 - omentum bag; A2 - intermuscular space of quadriceps femoris; A3 - subperiosteal of ilium bone). Histological assessments graded the presence of angiogenesis, the number of inflammatory cells, newly formed bone tissue, and the presence of giant cells. Histological analyses showed intense angiogenesis in all implanted xenografts. Presence of inflammatory infiltrate and giant cells at the A1 implant site and presence of bone neoformation at the A3 implant site were noted. Degeneration of implants and formation of a fibrous capsule were noted. When comparing the interaction of the site with the days of evaluation, statistical analysis showed a significant difference (p≤0.05) in any time of neovascularization analysis. The vascular endothelial growth factor (VEGF) and inflammatory cells of the omentum in its structure, may have contributed to the greater presence of neovessels and inflammatory cells, a fact that may indicate functionality as a possible bone substitute.(AU)


O objetivo deste estudo foi avaliar a neovascularização de xenoenxertos bovinos implantados em sítios intracorpóreos de coelhos (biorreatores). Foram utilizados 30 coelhos, os quais foram divididos em seis grupos, de acordo com o tempo de avaliação (sete, 15, 30, 45 e 60 dias); cada animal recebeu implantes xenogênicos em três diferentes sítios intracorpóreos (A1 - bolsa de omento; A2 - espaço intermuscular do quadríceps femoral; A3 - subperiosteal do osso ílio). Avaliações histológicas classificaram a presença de angiogênese, o número de células inflamatórias, de tecido ósseo neoformado e a presença de células gigantes. As análises histológicas mostraram intensa angiogênese em todos os xenoenxertos implantados. Observou-se presença de infiltrado inflamatório e células gigantes no local do implante A1 e presença de neoformação óssea no local do implante A3. Ao mesmo tempo, a degeneração dos implantes e a formação de uma cápsula fibrosa foram observadas. Ao comparar a interação do local com os dias de avaliação, a análise estatística mostrou diferença significativa (P≤0,05) em qualquer momento da análise de neovascularização. O fator de crescimento endotelial vascular (VEGF) e as células inflamatórias do omento em sua estrutura podem ter contribuído para a maior presença de neovasos e células inflamatórias, fato que pode indicar funcionalidade como possível substituto ósseo.(AU)


Asunto(s)
Animales , Bovinos , Conejos , Trasplante Óseo/veterinaria , Reactores Biológicos/veterinaria , Xenoinjertos/irrigación sanguínea , Modelos Animales
2.
Vet Pathol ; 51(3): 603-6, 2014 May.
Artículo en Inglés | MEDLINE | ID: mdl-23794149

RESUMEN

The hearts of 30 dogs naturally infected with Leishmania infantum chagasi were evaluated histologically and immunohistochemically. Myocardial lesions were detected in all dogs, including lymphoplasmacytic myocarditis (27/30), myonecrosis (24/30), increased interstitial collagen (22/30), lepromatous-type granulomatous myocarditis (7/30), fibrinoid vascular change (3/30), and vasculitis (1/30). The parasite was detected in the hearts of 20 of 30 dogs. The number of parasitized cells correlated with the intensity of the inflammation and with the number of granulomas. The results indicate that cardiac lesions are prevalent in dogs with naturally occurring leishmaniasis even in the absence of clinical signs of cardiac disease.


Asunto(s)
Enfermedades de los Perros/patología , Corazón/parasitología , Leishmania infantum , Leishmaniasis Visceral/veterinaria , Miocardio/patología , Animales , Perros , Técnicas Histológicas/veterinaria , Inmunohistoquímica/veterinaria , Leishmaniasis Visceral/patología , Miocarditis/patología , Miocarditis/veterinaria , Necrosis/patología , Necrosis/veterinaria , Vasculitis/patología , Vasculitis/veterinaria
3.
Oral Dis ; 19(6): 568-76, 2013 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-23163888

RESUMEN

OBJECTIVE: Susceptibility to and severity of periodontal disease is influenced by gene polymorphisms related to the immune response. Co-stimulatory molecules, such as CD28 and CTLA-4, are critical in the development of such responses. Our hypothesis is that polymorphisms in genes that code for these molecules may be associated with periodontitis. The aim of the study was to investigate the association between +17 (T/C) CD28 and +49 (A/G) CTLA-4 gene polymorphisms and periodontitis in Brazilians. MATERIALS AND METHODS: Genomic DNA was obtained from oral swabs of 424 individuals categorized into three groups (control group, aggressive, and chronic periodontitis) considering clinical parameters such as probing depth and clinical attachment loss. The genotyping was performed by polymerase chain reaction-restriction fragment length polymorphism. RESULTS: There was an association between the T(-) genotype of the CD28 polymorphism and aggressive periodontitis (P = 0.04). Moreover, the A(+) genotype for CTLA-4 was associated with greater clinical attachment loss in non-smokers with aggressive periodontitis (P = 0.006, OR = 16.25, CI = 2.25-117.11). CONCLUSIONS: These findings show that T(-) in CD28 + 17 (T/C) and the A(+) in CTLA-4 +49 (A/G) genotypes are associated with susceptibility to aggressive periodontal disease. Thus, our study highlights these polymorphisms as potential genetic susceptibility markers of periodontitis in Brazilians.


Asunto(s)
Periodontitis Agresiva/genética , Antígenos CD28/genética , Antígeno CTLA-4/genética , Polimorfismo Genético/genética , Adenina , Adolescente , Adulto , Anciano , Periodontitis Agresiva/inmunología , Brasil , Periodontitis Crónica/genética , Periodontitis Crónica/inmunología , Citosina , ADN/análisis , Femenino , Frecuencia de los Genes/genética , Marcadores Genéticos/genética , Predisposición Genética a la Enfermedad/genética , Genotipo , Guanina , Humanos , Masculino , Persona de Mediana Edad , Pérdida de la Inserción Periodontal/genética , Pérdida de la Inserción Periodontal/inmunología , Bolsa Periodontal/genética , Bolsa Periodontal/inmunología , Reacción en Cadena de la Polimerasa , Polimorfismo de Longitud del Fragmento de Restricción/genética , Fumar , Timina , Adulto Joven
4.
Genet Mol Res ; 8(3): 1079-84, 2009 Sep 01.
Artículo en Inglés | MEDLINE | ID: mdl-19731218

RESUMEN

Molossidae species, Cynomops abrasus (2n = 34, fundamental number, FN = 64), Eumops auripendulus (2n = 42, FN = 62), Molossus rufus (2n = 48, FN = 64), Molossops temminckii (2n = 48, FN = 64), and Nyctinomops laticaudatus (2n = 48, FN = 64), and Phyllostomidae species, Phyllostomus discolor (2n = 32, FN = 60), have karyotypes with different chromosome and fundamental numbers, different localization of constitutive heterochromatin, and different numbers and location of nucleolar organizer regions (NORs). Fluorescence in situ hybridization with a human probe of the telomeric sequence (TTAGGG)(n) produced fluorescent signals in telomeric regions of the six bat species' chromosomes; in E. auripendulus, pericentromeric signals were also observed in the acrocentric and subtelocentric chromosomes. A relationship between telomeric sequences and NORs, and between telomeric sequences and constitutive heterochromatin was detected in chromosomes bearing NORs in C. abrasus, M. temminckii, N. laticaudatus, and P. discolor. No interstitial signal was observed in the meta- or submetacentric chromosomes of these species.


Asunto(s)
Quirópteros/genética , Cromosomas de los Mamíferos/genética , Telómero/genética , Animales , Secuencia de Bases , Bandeo Cromosómico , Datos de Secuencia Molecular , Región Organizadora del Nucléolo/genética
5.
Open Dent J ; 3: 184-90, 2009 Sep 07.
Artículo en Inglés | MEDLINE | ID: mdl-19771178

RESUMEN

IL-10 and TNF-α are cytokines that have complex and opposing roles in the inflammatory responses. G/A polymorphisms at position -1082 of IL10 and -308 of TNFA genes have been reported to influence the expression of IL-10 and TNF-α, respectively. The aim of this study was to investigate the association between the IL10 (-1082) and TNFA (- 308) gene polymorphisms with different clinical forms or severity of periodontitis in a sample of Brazilian individuals. DNA was obtained from oral swabs of 165 Brazilian individuals, which were divided into three groups: individuals with chronic periodontitis, aggressive periodontitis and individuals without clinical evidence of periodontitis. Evaluation of IL10 and TNFA polymorphisms was performed by RFLP analysis. Statistical analysis of data was performed using the Χ² likelihood ratio and Fisher;s exact test. No significant differences in the genotype and allele distribution of either IL10 or TNFA were observed among individuals with different clinical forms or with different degrees of severity of periodontitis. Moreover, combined analysis of IL10 and TNFA polymorphisms did not show any association with periodontal status. As conclusion, the IL10 and TNFA gene promoter polymorphisms investigated are not associated with different clinical forms of periodontitis or with severity of the disease in the Brazilian population polymorphisms.

6.
Genet Mol Res ; 7(4): 1164-78, 2008 Oct 28.
Artículo en Inglés | MEDLINE | ID: mdl-19048495

RESUMEN

A PCR-RFLP analysis of the restriction pattern in nuclear (RAG2) and mitochondrial (12S/16S) gene sequences of bat species from the Molossidae, Phyllostomidae, Vespertilionidae, and Emballonuridae families produced a large number of fragments: 107 for RAG2 and 155 for 12S/16S combined in 139 and 402 haplotypes, respectively. The values detected for gene variation were low for both sequences (0.13 for RAG2 and 0.15 for 12S/16S) and reflected their conservative feature, reinforced by high values of inter- and intraspecies genetic identity (70-100%). The species with a high gene divergence were variable in the analyses of RAG2 (Eumops perotis, Artibeus lituratus, and Carollia perspicillata) and of 12S/16S (Nyctinomops laticaudatus, C. perspicillata, and Cynomops abrasus), and furthermore, one of them, C. perspicillata, also showed the highest intraspecific variation. The species that exhibited the lowest variation for both genes was Molossus rufus. In the families, the highest variation was observed in the Molossidae and this can be attributed to variation exhibited by Eumops and Nyctinomops species. The variations observed were interpreted as a natural variability within the species and genus that exhibited a conserved pattern in the two gene sequences in different species and family analyzed. Our data reinforce the idea that the analyses of mitochondrial and nuclear genes contribute to our knowledge of the diversity of New World bats. The genetic variability found in different taxa suggests that an additional diversity, unnoticed by other methods, can be revealed with the use of different molecular strategies.


Asunto(s)
Quirópteros/clasificación , Quirópteros/genética , Variación Genética , Animales , Genes Mitocondriales/genética , Marcadores Genéticos/genética , Reacción en Cadena de la Polimerasa , Polimorfismo de Longitud del Fragmento de Restricción , Especificidad de la Especie
7.
Br J Ophthalmol ; 92(7): 986-8, 2008 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-18577652

RESUMEN

AIM: To investigate the possible association between TNF-alpha (-308G/A) polymorphism and toxoplasmic retinochoroiditis (TR) in humans. METHODS: A cross-sectional study was performed which included 100 Brazilian patients with diagnosis of TR and 100 matched control subjects with positive serology to toxoplasmosis and no sign of uveitis. Genomic DNA was obtained from oral swabs of all subjects and amplified using the polymerase chain reaction (PCR) with specific primers flanking the locus -308 of TNF-alpha. PCR products were submitted to restriction endonuclease digestion and analysed by polyacrylamide gel electrophoresis to distinguish alleles, allowing the determination of the genotypes. RESULTS: There was no significant difference in the genotype (chi(2) = 0.79, p = 0.67), allele (chi(2) = 0.095, p = 0.75) and allele carriage (chi(2) = 0.70, p = 0.40) frequencies in TR patients compared with control subjects. Frequencies of the genotype (chi(2) = 2.05, p = 0.35) and allele (chi(2) = 0.13, p = 0.71) did not differ significantly between TR patients with and without recurrent episodes. CONCLUSION: This is the first study to investigate the association between TNF-alpha polymorphism and the occurrence of TR in humans. TNF-alpha gene polymorphism (-308G/A) does not seem to be associated with the occurrence or recurrence of TR.


Asunto(s)
Coriorretinitis/genética , Polimorfismo Genético , Toxoplasmosis Ocular/genética , Factor de Necrosis Tumoral alfa/genética , Adulto , Estudios de Casos y Controles , Coriorretinitis/parasitología , Coriorretinitis/fisiopatología , Estudios Transversales , Electroforesis en Gel de Poliacrilamida/métodos , Femenino , Frecuencia de los Genes , Predisposición Genética a la Enfermedad , Humanos , Masculino , Persona de Mediana Edad , Reacción en Cadena de la Polimerasa/métodos , Toxoplasmosis Ocular/fisiopatología , Agudeza Visual
8.
Int Endod J ; 40(7): 563-72, 2007 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-17511783

RESUMEN

AIM: To investigate in individuals with symptomatic dental abscesses the occurrence of functional polymorphisms within five genes involved with the immune response. The functional gene polymorphisms analysed were CD14 (-260 C/T), IL1B (+3954 C/T), IL6 (-174 G/C,), IL10 (-1082 G/A) and TNFA (-308 G/A). METHODOLOGY: Genomic DNA obtained from oral swabs from individuals with symptomatic dental abscesses and asymptomatic inflammatory periapical lesions, without previous exacerbation, was submitted to restriction fragment length polymorphism (RFLP) analyses to determine each individual genotype. The chi-square and principal components analysis tests were used for statistical analysis. RESULTS: A significant association was observed between the occurrence of the GG genotype or the G allele expression of the polymorphic locus-174 (G/C) of the IL6 gene, and the presence of the symptomatic dental abscesses in women and in individuals < or =35 years old. The principal components analysis suggested predominance of the symptomatic dental abscesses in individuals displaying: high-producer IL6 genotype; intermediate and high-producer IL1B genotypes and low-producer TNFA genotype. CONCLUSIONS: The present study suggests that genetic factors are associated with susceptibility to develop symptomatic dental abscesses.


Asunto(s)
Absceso/inmunología , Interleucina-10/genética , Interleucina-1beta/genética , Interleucina-6/genética , Receptores de Lipopolisacáridos/genética , Polimorfismo Genético/genética , Enfermedades Dentales/microbiología , Factor de Necrosis Tumoral alfa/genética , Adenina , Adulto , Factores de Edad , Estudios de Casos y Controles , Mapeo Cromosómico , Estudios Transversales , Citosina , Femenino , Frecuencia de los Genes , Predisposición Genética a la Enfermedad/genética , Genotipo , Guanina , Humanos , Masculino , Periodontitis Periapical/inmunología , Timina , Enfermedades Dentales/inmunología
9.
Clin Exp Immunol ; 148(1): 119-26, 2007 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-17286759

RESUMEN

Interleukin (IL)-6 is an inflammatory mediator involved in bone resorption. G/C polymorphism at position -174 of the IL-6 gene has been reported to influence IL-6 expression, with the G allele associated with higher expression levels. The aims of this study were to investigate the expression of IL-6 as well as the incidence of IL-6 (-174) gene polymorphism and their correlation to the severity of periodontitis in Brazilians. Peripheral blood mononuclear cells were collected from 12 non-smoker individuals with periodontitis for evaluation of IL-6 expression using flow cytometry. We observed a positive correlation between the mean clinical attachment loss and intensity of expression of IL-6, in which the greater the attachment loss, the higher the expression of IL-6 (P=0 x 007, R2=0 x 52). Also, patients with severe periodontitis displayed a higher intensity of IL-6 expression compared to moderate periodontitis (P=0 x 04). To determine the occurrence of IL-6 gene polymorphism, DNA was obtained from oral swabs of 209 Brazilian individuals with and without periodontitis. Polymerase chain reaction, restriction endonuclease digestion and electrophoresis were performed, allowing for detection of the IL-6 (-174) polymorphism. We observed that non-smokers with moderate periodontitis (P=0 x 05) and control (P=0 x 04) groups displayed a higher incidence of the G genotype when compared to severe periodontitis. This suggests that the G genotype may represent a protective role in severity of periodontitis. Thus, the increased expression of IL-6 and IL-6 (-174) polymorphism are associated with periodontal disease severity in Brazilian individuals.


Asunto(s)
Interleucina-6/sangre , Periodontitis/inmunología , Polimorfismo Genético , Adolescente , Adulto , Anciano , Estudios Transversales , Femenino , Citometría de Flujo/métodos , Predisposición Genética a la Enfermedad , Genotipo , Humanos , Interleucina-6/genética , Leucocitos Mononucleares/inmunología , Masculino , Persona de Mediana Edad , Periodontitis/genética , Índice de Severidad de la Enfermedad
10.
J Periodontal Res ; 42(1): 23-30, 2007 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-17214636

RESUMEN

BACKGROUND AND OBJECTIVE: It has been proposed that genotypes reflective of polymorphisms in cytokine genes can predispose individuals to disease by enhancing inflammatory processes. The C/T polymorphism at position -889 of the IL1A gene influences interleukin-1alpha expression, with the T allele inducing higher expression. The aim of this study was to evaluate the association of the IL1A (-889) gene polymorphism in Brazilian individuals with different clinical forms of periodontitis and severity of disease. MATERIAL AND METHODS: DNA was obtained from oral swabs of 163 Brazilian individuals and was amplified using the polymerase chain reaction (PCR). Products were submitted to digestion and were analyzed by electrophoresis to distinguish the C and T alleles. RESULTS: A significant difference in the genotype distribution was observed when comparing the chronic periodontitis group with the control group, evaluating only nonsmokers (chi-squared analysis = 9.91; p = 0.007), as well as when smokers were included (chi-squared analysis = 6.36; p = 0.04). Moreover, we observed a higher incidence of the T allele in the chronic periodontitis group (37.8%) when compared with the control group (18.4%) in nonsmokers (p = 0.006, odds ratio = 2.69, confidence interval = 1.27-5.68) and also when smokers were included (p = 0.03, odds ratio = 1.87, confidence interval = 0.98-3.56). No statistical difference was observed when the aggressive periodontitis group was compared with the control group. With regard to severity of disease, no statistical difference was observed. CONCLUSION: These data show an association of the IL1A (-889) polymorphism with chronic periodontitis in Brazilian individuals.


Asunto(s)
Interleucina-1alfa/genética , Periodontitis/genética , Polimorfismo Genético/genética , Adolescente , Adulto , Anciano , Alelos , Brasil , Enfermedad Crónica , Estudios Transversales , Citosina , ADN/genética , Femenino , Genotipo , Humanos , Masculino , Persona de Mediana Edad , Fumar/genética , Timina
11.
Genet Mol Res ; 5(4): 804-15, 2006 Dec 08.
Artículo en Inglés | MEDLINE | ID: mdl-17183488

RESUMEN

Random amplified polymorphic DNA molecular marker was utilized as a means of analyzing genetic variability in seven bat species: Molossus molossus, M. rufus, Eumops glaucinus, E. perotis, Myotis nigricans, Eptesicus furinalis, and Artibeus planirostris. The determination of genetic diversity was based on 741 bands produced by a 20-random primer set. Only eight bands were considered monomorphic to one species. The greatest number of bands and the most polymorphic condition were exhibited by M. molossus, followed by M. nigricans, A. planirostris, E. furinalis, E. glaucinus, M. rufus, and E. perotis. Nei's genetic diversity index in the seven species considering the 20 primers was not greater than 0.22, but some primers were capable of detecting values between 0.39 and 0.49. Nei's unbiased genetic distance values and the UPGMA clustering pattern show that M. molossus and M. rufus have a close genetic relationship, unlike that observed between E. perotis and E. glaucinus. The latter was clustered with A. planirostris and E. furinalis. The low values for genetic diversity and distance observed indicate a genetic conservatism in the seven species. The fluorescent in situ hybridization experiments did not confirm a monomorphic condition for the eight bands identified, demonstrating that the monomorphic bands obtained by random amplified polymorphic DNA are insufficient for the identification of bat species.


Asunto(s)
Quirópteros/genética , Variación Genética/genética , Técnica del ADN Polimorfo Amplificado Aleatorio , Animales , Quirópteros/clasificación , Marcadores Genéticos/genética , Hibridación Fluorescente in Situ , Reproducibilidad de los Resultados
12.
Genet. mol. res. (Online) ; 5(4): 804-815, 2006. tab, ilus
Artículo en Inglés | LILACS | ID: lil-482078

RESUMEN

Random amplified polymorphic DNA molecular marker was utilized as a means of analyzing genetic variability in seven bat species: Molossus molossus, M. rufus, Eumops glaucinus, E. perotis, Myotis nigricans, Eptesicus furinalis, and Artibeus planirostris. The determination of genetic diversity was based on 741 bands produced by a 20-random primer set. Only eight bands were considered monomorphic to one species. The greatest number of bands and the most polymorphic condition were exhibited by M. molossus, followed by M. nigricans, A. planirostris, E. furinalis, E. glaucinus, M. rufus, and E. perotis. Nei's genetic diversity index in the seven species considering the 20 primers was not greater than 0.22, but some primers were capable of detecting values between 0.39 and 0.49. Nei's unbiased genetic distance values and the UPGMA clustering pattern show that M. molossus and M. rufus have a close genetic relationship, unlike that observed between E. perotis and E. glaucinus. The latter was clustered with A. planirostris and E. furinalis. The low values for genetic diversity and distance observed indicate a genetic conservatism in the seven species. The fluorescent in situ hybridization experiments did not confirm a monomorphic condition for the eight bands identified, demonstrating that the monomorphic bands obtained by random amplified polymorphic DNA are insufficient for the identification of bat species.


Asunto(s)
Animales , Variación Genética , Quirópteros/genética , Técnica del ADN Polimorfo Amplificado Aleatorio , Hibridación Fluorescente in Situ , Marcadores Genéticos/genética , Quirópteros/clasificación , Reproducibilidad de los Resultados
14.
J Biotechnol ; 89(2-3): 107-11, 2001 Aug 23.
Artículo en Inglés | MEDLINE | ID: mdl-11500203

RESUMEN

A novel strain of Bjerkandera sp. (B33/3), with particularly high decolourisation activities upon Poly R-478 and Remazol Brilliant Blue R (RBBR) dyes, was isolated. The role of the ligninolytic extracellular enzymes produced by this strain on decolourisation of RBBR was studied in some depth. The basis of decolourisation is an enzyme-mediated process, in which the main enzyme responsible is a recently described peroxidase with capacity for oxidation of manganese, as well as veratryl alcohol and 2,6-dimethoxyphenol in a manganese-independent reaction.


Asunto(s)
Antraquinonas/metabolismo , Basidiomycota/metabolismo , Colorantes/metabolismo , Color , Cinética
15.
Int Endod J ; 33(2): 99-102, 2000 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-11307457

RESUMEN

AIM: As CD57 antigen is an important modulator of the immune system, the purpose of the present study was to compare the expression of this antigen on radicular cysts (RC) with hyperplastic or atrophic epithelium. METHODOLOGY: Twenty cases of RC were retrieved and classified as atrophic or hyperplastic. A biotin-streptavidin amplified system was used for identification of the CD57 receptor. RESULTS: The results demonstrated a greater percentage of CD57+ cells in RC with atrophic epithelium compared to hyperplastic epithelium. CONCLUSION: As the expression of CD57 is indicative of immunosuppression, it may constitute a negative immunomodulator of RC's epithelium growth. Further studies are necessary to understand the importance of this cell to the biological activity or inactivity of RC's epithelium development.


Asunto(s)
Antígenos CD57 , Quiste Radicular/inmunología , Quiste Radicular/patología , Epitelio/patología , Humanos , Hiperplasia , Recuento de Linfocitos , Estadísticas no Paramétricas , Linfocitos T/inmunología
16.
Arq Neuropsiquiatr ; 53(4): 789-91, 1995 Dec.
Artículo en Portugués | MEDLINE | ID: mdl-8729774

RESUMEN

Brown-Vialetto-van Laere syndrome is a rare hereditary or sporadic degenerative disorder characterised by progressive sensoryneural deafness, followed or accompanied by cranial nerve palsies. The anterior horn cells and the optic pathways may be involved in some cases. We report two cases, and comment the differential diagnosis and the relationships of this syndrome to the muscle spinal atrophies and the hereditary deafness.


Asunto(s)
Parálisis Bulbar Progresiva/complicaciones , Sordera/etiología , Adolescente , Parálisis Bulbar Progresiva/genética , Niño , Sordera/genética , Femenino , Humanos , Masculino , Síndrome
17.
Trans R Soc Trop Med Hyg ; 89(5): 496-500, 1995.
Artículo en Inglés | MEDLINE | ID: mdl-8560521

RESUMEN

The role of serological tests on cerebrospinal fluid (CSF) in the diagnosis of neuroschistosomiasis has not been fully elucidated; the condition is essentially diagnosed on the basis of circumstantial evidence, which may lead to an erroneous diagnosis, especially in highly endemic areas. We therefore carried out a prospective case-control study in which we compared the concentrations of immunoglobulin G (IgG) specific for schistosome soluble egg antigen (SEA) present in the CSF of 54 patients with schistosomiasis mansoni myeloradiculopathy (SMMR) with those observed in a control group consisting of 41 patients with epidemiological and serological evidence of exposure to schistosomes, and with other neurological disorders that result in mild to moderate impairment of the blood-brain barrier. Anti-SEA IgG was estimated by an enzyme-linked immunosorbent assay. The sensitivity, specificity and positive and negative predictive values were 56%, 95%, 94% and 62% respectively. Likelihood ratios and the corresponding post-test probabilities were determined for 4 levels of anti-SEA IgG in CSF. A value below 0.1 micrograms/mL practically excluded the possibility of SMMR (post-test probability < 5%), a value above 1.4 micrograms/mL practically confirmed the diagnosis of SMMR (post-test probability > 96%), values of 0.1 to 0.5 microgram/mL had no diagnostic value (post-test probability approximately 45%), and values of 0.6 to 1.4 micrograms/mL were useful in some situations (post-test probability approximately 70%). We conclude that the estimation of anti-SEA IgG in the CSF is useful for the diagnosis of SMMR.


Asunto(s)
Esquistosomiasis mansoni/diagnóstico , Enfermedades de la Médula Espinal/diagnóstico , Raíces Nerviosas Espinales , Adolescente , Adulto , Anciano , Anticuerpos Antiprotozoarios/líquido cefalorraquídeo , Estudios de Casos y Controles , Niño , Preescolar , Ensayo de Inmunoadsorción Enzimática , Femenino , Humanos , Inmunoglobulina G/líquido cefalorraquídeo , Funciones de Verosimilitud , Masculino , Persona de Mediana Edad , Enfermedades del Sistema Nervioso Periférico/líquido cefalorraquídeo , Enfermedades del Sistema Nervioso Periférico/diagnóstico , Valor Predictivo de las Pruebas , Estudios Prospectivos , Esquistosomiasis mansoni/líquido cefalorraquídeo , Esquistosomiasis mansoni/inmunología , Sensibilidad y Especificidad , Enfermedades de la Médula Espinal/líquido cefalorraquídeo
20.
Arq Neuropsiquiatr ; 49(4): 409-17, 1991 Dec.
Artículo en Portugués | MEDLINE | ID: mdl-1842190

RESUMEN

The indication for thymectomy in myasthenia gravis still is controversial, and it is uncommon to find in the present days studies comparing conservative treatments, due to the widespread surgical treatment adopted in most centers. We studied 65 cases divided into three groups of patients: (1) 15 thymectomized patients and 50 with conservative treatment; (2) 15 thymectomized patients paired with 15 on conservative treatment; (3) 49 patients treated with corticosteroids against 16 without corticosteroids. These three groups where compared regarding age, age when the symptoms began, disease duration, clinical severity and functional scale, studying remission, stability or worsening of the symptoms and death rate after several years of treatment. It was found a reduction of the symptoms (p < 0.05) in the thymectomized patients of group 1; the remaining parameters of all three groups did not show any statistical significance. These results suggest that the type of treatment did not interfere with evolution of myasthenia gravis in this group of patients.


Asunto(s)
Miastenia Gravis/tratamiento farmacológico , Miastenia Gravis/cirugía , Corticoesteroides/administración & dosificación , Corticoesteroides/uso terapéutico , Azatioprina/uso terapéutico , Femenino , Humanos , Masculino , Plasmaféresis , Bromuro de Piridostigmina/uso terapéutico , Timectomía , Tomografía por Rayos X
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